Individual
MS. STEPHANIE MARIE LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 GRAND CONCOURSE FL 8, BRONX, NY 10453-8202
(212) 560-6700
Mailing address
1775 GRAND CONCOURSE FL 8, BRONX, NY 10453-8202
(212) 560-6700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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